| NPI | 1730921917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDALLA ADAM Owner 718-207-4383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |